Charles H. Shaw, M.d., Inc.

NPI #1750426730 in Mansfield, Ohio

Provider Information

NPI Number: 1750426730
Entity Type: Organization
Organization Name: Charles H. Shaw, M.d., Inc.
Primary Specialty: Pediatrics
Enumeration Date: Feb 20, 2007
Last Updated: Feb 28, 2008

Practice Location

Address: 370 CLINE AVE
City: Mansfield
State: Ohio
ZIP Code: 44907-1057
Phone: (419) 756-8511

Authorized Official

Name: CHARLES H. SHAW, M.D.
Title: OWNER
Phone: (419) 756-8511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Pediatrics — Pediatrics	363LP0200X
Pediatrics	208000000X	Primary

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